<form name="userform" action="http://[target]/register.php" method="post">
		<input name="step" type="hidden" value="regform">


		<tr>
			<td class='tableh2' colspan='2'>Account Information</td>

		</tr>
		<tr>
			<td class='tableb' width='160'>Username</td>
			<td class='tableb'>
			</td>
		</tr>
		<tr>
			<td class='tableb' width='160'>Password</td>

			<td class='tableb'><input type='password' name='password' class='textinput' value="" size='25' maxlength="16">
			</td>
		</tr>
		<tr>
			<td class='tableb' width='160'>Confirm Password</td>
			<td class='tableb'><input type='password' name='password_confirm' class='textinput' value="" size='25' maxlength="16">
			</td>
		</tr>

		<tr>
			<td class='tableb' width='160'>E-mail Address</td>
			<td class='tableb'><input type='text' name='email' class='textinput' value="" size='25'>
			</td>
		</tr>
		<tr>
			<td class='tableh2' colspan='2'>Other Details</td>
		</tr>

		<tr>
			<td class='tableb' width='160'>First Name</td>
			<td class='tableb'><input type='text' name='firstname' class='textinput' value="" size='25'>
			</td>
		</tr>
		<tr>
			<td class='tableb' width='160'>Last Name</td>
			<td class='tableb'><input type='text' name='lastname' class='textinput' value="" size='25'>

			</td>
		<tr>
			<td class='tableb' width='160'>Home page</td>
			<td class='tableb'><input type='text' name='user_website' class='textinput' value="" size='25'>
			</td>
		<tr>
			<td class='tableb' width='160'>Location</td>
			<td class='tableb'><input type='text' name='user_location' class='textinput' value="" size='25'>

			</td>
		<tr>
			<td class='tableb' width='160'>Occupation</td>
			<td class='tableb'><input type='text' name='user_occupation' class='textinput' value="" size='25'>
			</td>
		</tr>

		<tr>

			<td class='tablec' colspan='2' align='center' valign='middle' height='40'>
				<input name='submit' type='submit' value="&nbsp;&nbsp;Submit my registration&nbsp;&nbsp;" class='button'>
			</td>
		</tr>
<!-- END submit_row -->
	</form>

# milw0rm.com [2007-01-31]
